ANTONIO BAKER

RUSTON, LA
NPI1730554916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  009022335)
Enumeration Date2015-12-14
Last Update Date2015-12-14
Business Address
-- ANTONIO BAKER
1231 FARMERVILLE HWY
RUSTON, LA 71270-3513
Phone number: 318-224-7017
Mailing Address
-- ANTONIO BAKER
1231 FARMERVILLE HWY
RUSTON, LA 71270-3513
Phone number: 318-224-7017
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